Agenda - 08-21-2007-4c - Laserfiche WebLink

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0 _ , _. To: Orange County Board of County Commissioners Attention: Moses Carey, Chair From: Judy R. Truitt, Area Director CC: Laura Blackmon Gwen Harvey Date: August 16, 2007 Re: Request to Provide Supplemental Emergency Funding in Support of Chapel Hill Training & Outreach Program In October 2005 Chapel Hill Training & Outreach Program accepted operational responsibility for Early Intervention & Family Services of Orange County, as well as KidScope, two service programs formerly operated by OPC Area Authority. To support the successful transition of these programs at the time of divestiture, OPC Area Board and the Orange County Board of Commissioners approved the provision of bridge funding equal to one month operating expenses or $93,882.' Since divestiture of the service programs, Chapel Hill Training & Outreach has provided strong clinical services at both the center-based and the child mental health service programs. However, they have experienced significant challenges establishing an internal, or vendor-purchased, billing and reimbursement system that maximized their ability to draw down Medicaid revenues. Coupled with other systemic issues, this has resulted in a budget shortfall for the 06-07 fiscal year of $200,000. On April 27, 2007 OPC requested that the Division of Mental Health approve an emergency transfer of $100,000 of unexpended child mental health monies for CHTOP. This request was officially approved on May 7, 2007. On May 16, 2007, following review by OPC's Utilization Management Committee, a request was submitted to DMH for an additional $50,000 of unexpended child mental health monies to be transferred to CHTOP. This request was approved on May 25, 2007. ~ OPC Area Board = $36,414 (allocated from county maintenance of effort funding) Orange BOCC = $57,468